fundamental and human rights �.� national preventive mechanism against torture left their rooms. This arrangement was not safe for the residents of the nursing home, since the distance between the two buildings was approximately 200 metres. The situation in the other nursing home could have prevented the night nurse from leaving immediately. This matter had also been addressed in connection with the visit made by the Ombudsman in 2007. The Deputy-Ombudsman noted that night-time care must be organised in a manner that does not leave residents without supervision. The Deputy-Ombudsman requested the city to notify him of the measures it had taken (659/2018). According to the city, the night nurse does not have to leave the unit during the shift anymore, because night care in the other nursing home will be arranged differently from 1 May 2018. to resolve who was responsible for organising the training (3367/2018). The report by the city that purchased the care service noted that, according to the outsourced service agreement, the service provider shall have quantitatively and structurally sufficient staff for the service being provided. The unit personnel must have the expertise, competence and motivation required by their duties. This also applies to competence in end-of-life care. The service provider must see to the further training of its personnel. The service provide shall thus arrange training for its personnel, and the city will provide further training if necessary. According to the report, end-of-life care training will be provided to the nursing home’s personnel in late 2018. The key themes of end-of-life care will be reviewed through training materials, discussions and the sharing of experiences. End-of-life care The nursing home strived to provide high-quality end-of-life care. However, the nurses expressed a wish for further training in the area. The Deputy-Ombudsman requested the municipality to report on its measures in the matter (3290/2018). The municipality reported that its end-of-life care guidelines had been reviewed in the group homes. In addition, the group home nurse who is a member of the municipal end-of-life care team participated in dedicated end-of-life care training. The written feedback on the training was reviewed in the group home. When the unit has a resident in need of end-of-life care, the staff will hold regular and in-depth discussions on the resident’s situation, the measures required, how to care for and support the resident, and how to take the resident’s next of kin into account and support them. The NPM discovered no significant shortcomings in the field of end-of-life care in the visited units in 2018. According to the nurses, some units were prepared to hire additional employees for the duration of end-of-life care, and the nursing staff felt sufficiently trained in end-of-life care (657, 659, 1212 and 2218/2018). The organisation of end-of-life care in some units gave the Deputy-Ombudsman cause to issue the following opinions. One nursing home stated that the number of nursing staff was not increased for the duration of end-of-life care. In addition, the representative of the company providing the nursing home services stated that the nurses could freshen up their end-of-life care skills by watching a video on the company’s intranet. In the opinion of the Deputy-Ombudsman, appropriate and competent endof-life care is the fundamental right of every older person, and every nurse must be familiar with it. Therefore, she suggested considering ways to provide the staff with further training in end-of-life care. The Deputy-Ombudsman did not consider it sufficient that nurses who felt that they required additional instruction on the issue would watch the instructions independently on the intranet. In addition, the city and service provider needed 106 Outdoor time The importance of spending time outdoors every day for the quality of care was emphasised in connection with the visits made to the service units for older people. Providing sufficient time outside is a part of caring for the residents’ basic needs and, thus, respecting their human dignity. The Deputy-Ombudsman has recommended including outdoor time in the residents’ care and service

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